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The World Health Organization had this to say in 2005 about The Role of Health Professionals in Tobacco Control Health professionals have a prominent role to play in tobacco control

JPS Players Crushball Cigarillo, the menthol alternative, comprises American Blend tobacco, wrapped in a natural tobacco leaf and features a menthol crushball within the filter, providing consumers with the choice of releasing the flavour contained within or smoking as a standard cigarillo

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Other times, the designs simply take up less space

[7] Despite not having commercial success, "Three Cigarettes in an Ashtray" received a positive critical response

Used that way, it is a legitimate professional tool